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� � <br /> CITY OF ORONO * 2 0 1 6 - 0 0 2 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSOED: 03/23/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2445 SHADYWOOD RD <br /> PIN : 20-117-23-11-0015 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$3500 ESCROW IS TIED TO ZONING PERMIT APPLICATION 16-3820 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> lst National Bank ofNavarre Payment(s) <br /> COLJNTY RD 15& 19 CHECK 019527 2,500.00 <br /> NAVARRE,MN 55392- <br /> OWNER <br /> 1 st National Bank of Navarre � <br /> COUNTY RD 15& 19 <br /> NAVARRE,MN 55392- <br /> AGREEMENT AND SWORI�T STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction au[horized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />